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Crackles - Late Inspiratory (Rales)

Late inspiratory crackles (rales) begin in late inspiration and increase in intensity. They are normally higher-pitched and can vary in loudness. These adventitious breath sounds resemble the noise made when hook and loop fasteners are being separated. These sounds are heard over posterior bases of the lungs. They may clear with changes in posture or several deep breaths. They do not clear with coughing.

Auscultation Sounds

auscultation sound from lesson
waveform

Patient Recording of Crackles - Late Inspiratory (Rales)

patient heart or lung sound
Crackles - Late Inspiratory (Rales)

Patient Recording - Half Speed

patient auscultation point for Crackles - Late Inspiratory (Rales)
Crackles - Late Inspiratory (Rales)

Position

Patient position for auscultation
The patient's position should be sitting.

Listening Tips for Crackles - Late Inspiratory (Rales)

Features:Crackles begin in late inspiration and increase. High-pitched, variable loudness. Best heard over posterior bases of the lungs. Do not usually clear with coughing

Waveform (Phonocardiogram)

Authors and Sources

Authors and Reviewers


Sources

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Crackles - Late Inspiratory (Rales) | #149




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